Postcoital visual loss due to valsalva retinopathy: A case report

Ahmed Mahjoub; Nadia Ben Abdesslem; Atf Ben Abderrazek; Anis Mahjoub; Dorra Ben Ammar; Chirine Bachraoui; Abdelkarim Bouatay; Emna Bouslama; Mohamed Ghorbel; Hachemi Mahjoub

doi:10.1016/j.amsu.2022.104721

Postcoital visual loss due to valsalva retinopathy: A case report

Ann Med Surg (Lond). 2022 Sep 21:82:104721. doi: 10.1016/j.amsu.2022.104721. eCollection 2022 Oct.

Affiliations

¹ Department of Ophthalmology, Farhat Hached Hospital, University of Sousse, Tunisia.
² Department of Clinical Hematology, Farhat Hached Hospital, University of Sousse, Tunisia.

Abstract

Valsalva retinopathy is a rare pathology presenting as a sudden and painless loss of vision affecting young subjects with no medical history. It is the result of an increase of intraocular venous pressure, leading to retrohyaloid haemorrhage. We describe here the clinical presentation of a retrohyaloid hemorrhage resulting from a valsalva mechanism following a sexual activity, in a 28-year-old patient treated by Neodymium:yttrium-aluminum-garnet (Nd:YAG) laser hyaloidotomy with a visual recovery of 20/20 on 3 weeks follow-up. Valsalva retinopathy is a rare and an easy-to-diagnose pathology that is safely handled by Nd:YAG laser hyaloidotomy for a quick visual acuity recovery.

Keywords: Case report; Nd:YAG laser hyaloidotomy; Nd:YAG, Neodymium:yttrium-aluminum-garnet; OCT, Optical coherence tomography; Sexual activity; Swept source OCT; Valsalva retinopathy.

Publication types

Case Reports